36D2160764 CLIA NUMBER - MEIJER PHARMACY #309

Laboratory Demographics

  • CLIA Code: 36D2160764
  • Facility Name: MEIJER PHARMACY #309
  • Facility Address: 92OO MENTOR AVE
    MENTOR, OH
    ZIP 44060
  • Facility Phone: 440 578-9210
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JACQUELINE MORSE
  • NPI Number: 1386108520
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 36D2160764
LAB Type Pharmacy
Facility Name MEIJER PHARMACY #309
Street 92OO MENTOR AVE
City MENTOR
State OH
ZIP 44060
Phone 440 578-9210
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/17/2025
Certificate Expiration Date 1/16/2027
Facility Type Pharmacy
Lab Director JACQUELINE MORSE

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This page was last updated on: 9/29/2025